Individual
DR. RICHARD PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119
(239) 348-4221
(239) 348-4079
Mailing address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 348-4221
(239) 348-4079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME79908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001858500
—
FL
01
—
49740
BCBS
FL
01
—
P00066441
RAILROAD MEDICARE
FL
Enumeration date
07/27/2006
Last updated
09/16/2020
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